Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,551.39 / $5,569.16	Facility		$624.00	$1,551.39	$5,569.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.21 / $711.50 / $1,422.69	Professional		$538.21	$711.50	$1,422.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $692.54 / $692.54 / $692.54	Professional		$692.54	$692.54	$692.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,517.01 / $5,597.70 / $12,209.30	Facility		$2,517.01	$5,597.70	$12,209.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.56 / $900.23 / $1,290.42	Professional		$735.56	$900.23	$1,290.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.21 / $886.52 / $1,375.54	Professional		$633.21	$886.52	$1,375.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $698.04 / $1,107.91 / $2,443.29	Professional		$698.04	$1,107.91	$2,443.29
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $746.92 / $778.53 / $1,030.93	Professional		$746.92	$778.53	$1,030.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,189.53	Professional		$32.34	$32.34	$1,189.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $2,622.00 / $5,026.00	Facility		$1,183.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.86 / $947.61 / $1,646.92	Professional		$672.86	$947.61	$1,646.92